Related Factors:
Active fluid volume loss; failure of regulatory mechanisms
Deficient Fluid volume Characteristics : Decreased urine output, increased urine concentration, weakness, sudden weight loss, decreased venous filling, increased body temperature, decreased pulse volume or pressure, change in mental state, elevated hematocrit, decreased skin or tongue turgor; dry skin/mucous membranes, thirst, increased pulse rate, decreased blood pressure.
Deficient Fluid volume Outcomes
- Maintains urine output more than 1300 ml/day (or at least 30 ml/hr)
- Maintains normal blood pressure, pulse, and body temperature
- Maintains elastic skin turgor; moist tongue and mucous membranes; and orientation to person, place, time
- Explains measures that can be taken to treat or prevent fluid volume loss
- Describes symptoms that indicate the need to consult with health care provider
NOC Outcomes (Nursing Outcomes Classification): Suggested NOC Labels
- Fluid Balance
- Hydration
- Nutritional Status: Food and Fluid Intake
NIC Interventions (Nursing Interventions Classification) Suggested NIC Labels
- Fluid Management
- Hypovolemia Management
- Shock Management: Volume
Nursing Interventions Nursing Care Plans for Fluid Volume Deficit
- Asses:
- Moistness of mucous membrane and skin turgor and chart findings.
- Intake and output.
- Orthostatic hypotension QD.
- Daily weights using same scale.
- Labs: HCT, BUN, Specific gravity, Sodium
- Encourage fluid intake.
- Assist patient with drinking if necessary.
- Explore patient's understanding of etiological factors and provide necessary teaching.
